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APPLICATION -- LOT LINE ADJUSTMENT ' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT G FILE NUMBER: ".PROPOSED PARCELS: li Existing Square Proposed Square Parcel Number Existing or Proposed Use of Parcel Footage or Acreage Footage or Acrea e 1 Agricultural, Rural Residential 1 AC 2 AC 2 Agricultural, Rural Residential 24±AC 23+AC i SITE IMPROVEMENTS AND SERVICES' : Water Annex-Formation Distance to Public is Public Water Service Provider Required Water Feet Proposed❑ Existing❑ :s ,1 Private Water® Existing Well ® New Well ❑ Weil Re lacement ❑ Sewage Disposal !' Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facilit Proposed❑ Existin ❑ R. On-site Sewage Disposal® ExistingSeptic System ® New Septic System ❑ Other E] t 5tormDrainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed❑ Required to: Ponds Existing ❑ i Private Storm l! Drainage❑ On-site Retention Ponds ❑ Natural Drainage/No Chane ® Other ❑ F-15tectricity:115 : Telephone.Service l ti Distance to Service Provider Service Service Provider Distance to Service I P.G-&E. Onsite SBC Onsite i , School Service Fire Protection Service a Distance to Elem Service Provider School Service Provider Distance to Fire Station g Linden Unified School Dist. 2 Miles Linden Peters 2 Miles . tin Etoads '' ' Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks Milton Road 60' 20' Yes ❑ No® Yes❑ No ibuncan Road 40' 20' Yes ❑ No® Yes ❑ No ii P.ro osed Roads Road]Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks i' Yes No Yes No EJ NIA ❑ ❑ ❑ ❑ Yes ❑ No ❑ Yes ❑ 2No❑ I EI F:IDEVSVC\Planning Application Forms% Page 4 of 7 Lot Line Adjustment.doc.(Revised 6-4-04)